Form OCFS-3780 "Instrument to Acknowledge Paternity of an out of Wedlock Child" - New York

What Is Form OCFS-3780?

This is a legal form that was released by the New York State Office of Children and Family Services - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2018;
  • The latest edition provided by the New York State Office of Children and Family Services;
  • Easy to use and ready to print;
  • Available in Haitian Creole;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form OCFS-3780 by clicking the link below or browse more documents and templates provided by the New York State Office of Children and Family Services.

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Download Form OCFS-3780 "Instrument to Acknowledge Paternity of an out of Wedlock Child" - New York

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OCFS-3780 (Rev. 12/2018)
NEW YORK STATE
OFFICE OF CHILDREN AND FAMILY SERVICES
INSTRUMENT TO ACKNOWLEDGE PATERNITY OF
AN OUT OF WEDLOCK CHILD
(pursuant to Section 4-1.2 of New York Estates, Powers and Trust Law)
I,
, residing at
_
NAME OF FATHER
ADDRESS
_
hereby acknowledge that I am
_
TOWN
STATE
ZIP CODE
_
_
the natural father of
born on
in
_
NAME OF CHILD
DATE OF BIRTH
_
. The natural mother of the child
_
_
TOWN
STATE
ZIP CODE
_
who resides
is
_
CHILD’S NAME
NAME OF NATURAL MOTHER
_
_
at
_
ADDRESS
TOWN
STATE
ZIP CODE
_
_
_
_
_
NATURAL FATHER (SIGNATURE)
_
_
_
_
STATE OF NEW YORK
_
COUNTY OF
_
_
On the
day of
before me came
_
DAY
MONTH
YEAR
NATURAL FATHER
_
_
to me known to be the individual described herein and who executed the foregoing instrument, and acknowledges to
_
me that he executed same.
_
_
_
_
_
_
NOTARY PUBLIC
_
_
_
STATE OF NEW YORK
_
COUNTY OF
_
This instrument must be filed with the New York State Office of Children and Family Services, Capital View Office Park,
52 Washington Street, Rensselaer, Room 323 North, New York 12144, within 60 days after it is completed. The natural
mother indicated on this instrument will be sent notification of this acknowledgement within seven days after its filing.
This form is available on line at https://ocfs.ny.gov/main/documents/. Print the form and fill it out by hand and send it to
the address above.
OCFS-3780 (Rev. 12/2018)
NEW YORK STATE
OFFICE OF CHILDREN AND FAMILY SERVICES
INSTRUMENT TO ACKNOWLEDGE PATERNITY OF
AN OUT OF WEDLOCK CHILD
(pursuant to Section 4-1.2 of New York Estates, Powers and Trust Law)
I,
, residing at
_
NAME OF FATHER
ADDRESS
_
hereby acknowledge that I am
_
TOWN
STATE
ZIP CODE
_
_
the natural father of
born on
in
_
NAME OF CHILD
DATE OF BIRTH
_
. The natural mother of the child
_
_
TOWN
STATE
ZIP CODE
_
who resides
is
_
CHILD’S NAME
NAME OF NATURAL MOTHER
_
_
at
_
ADDRESS
TOWN
STATE
ZIP CODE
_
_
_
_
_
NATURAL FATHER (SIGNATURE)
_
_
_
_
STATE OF NEW YORK
_
COUNTY OF
_
_
On the
day of
before me came
_
DAY
MONTH
YEAR
NATURAL FATHER
_
_
to me known to be the individual described herein and who executed the foregoing instrument, and acknowledges to
_
me that he executed same.
_
_
_
_
_
_
NOTARY PUBLIC
_
_
_
STATE OF NEW YORK
_
COUNTY OF
_
This instrument must be filed with the New York State Office of Children and Family Services, Capital View Office Park,
52 Washington Street, Rensselaer, Room 323 North, New York 12144, within 60 days after it is completed. The natural
mother indicated on this instrument will be sent notification of this acknowledgement within seven days after its filing.
This form is available on line at https://ocfs.ny.gov/main/documents/. Print the form and fill it out by hand and send it to
the address above.